Fujii T
Department of Removable Prosthodontics, Nagasaki University School of Dentistry, Japan.
Cranio. 1999 Apr;17(2):143-8. doi: 10.1080/08869634.1999.11746088.
When the signs and symptoms of temporomandibular joint disorders (TMD) are present, the possibility that occlusal position and mandibular movements are changed is considerable. Accordingly, the presence of occlusal interferences may be misjudged. It is therefore reasonable to consider that occlusal conditions should be examined just after the relief of symptoms. A comparison of occlusal condition in 45 patients with eminence clicking with a group of 60 asymptomatic controls was made. An occlusal examination was administered to the patient group just after the relief of clicking using bite plane therapy alone. The number of occlusal teeth in ICP (intercuspal position) for the patient group was significantly lower than for the controls, and the frequency of no contact of canines on the working side in the patient group was higher than that in the control group. This suggested that in order to avoid the recurrence of eminence clicking, efforts should be made to raise the number of contact teeth in ICP and to make canines on the working side come into contact.
当出现颞下颌关节紊乱病(TMD)的体征和症状时,咬合位置和下颌运动发生改变的可能性很大。因此,可能会误判存在咬合干扰。所以,有理由认为应在症状缓解后立即检查咬合情况。对45例有髁突弹响的患者与60例无症状对照者的咬合情况进行了比较。仅使用咬合板疗法使弹响缓解后,对患者组进行了咬合检查。患者组在牙尖交错位(ICP)的咬合牙数量显著低于对照组,且患者组工作侧尖牙无接触的频率高于对照组。这表明,为避免髁突弹响复发,应努力增加ICP的接触牙数量,并使工作侧尖牙接触。